Are Columella Struts Permanent?

Are grafts used to support the nasal tip, besides the aging process, permanent?

Doctor Answers 13

Columellar Struts in Rhinoplasty Surgery

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Columellar struts made from your own cartilage are permanent. This is beneficial, because you want to maintain tip support thoughout life. Struts made from silicone are also permanent, but I do not recommend their use.

Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 reviews

Rhinoplasty; Columella Structs are Permanent (But Can Be Removed if Need Be)

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Hi Frank,

Columellar structs are permanent unless for some reason are surgically removed.  Most columellar structs are constructed from the patient's nasal septal cartilage.  They are placed between the medial crura of the lower lateral nasal cartilages. 

Good luck and be well.


Michael A. Persky, MD
Encino Facial Plastic Surgeon
4.8 out of 5 stars 39 reviews

Columella struts are permanent

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Columellar struts are cartilage grafts taken from the inside of the nose and are used to give the nasal tip support and are permanent after placement.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 158 reviews

Columella Struts can be permanent

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If your own cartilage is used for a columellar strut, they are typically permanent. I have noticed that the stiffness in the tip they create can soften over time. If one uses irradiated rib or bone they will slowly absorb over the years and have seen this happen in a few patients that had work done on their noses many years ago.

Ivan Wayne, MD
Oklahoma City Facial Plastic Surgeon
5.0 out of 5 stars 65 reviews

Cartilaginous Columellar Struts are Permanent

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The cartilage obtained from your own nasal septum and then used in making a columellar strut is very likely to be permanent. It might loose some volume over years but not completely disappear.


Tanveer Janjua, MD
Bedminster Facial Plastic Surgeon
5.0 out of 5 stars 126 reviews

Rhinoplasty Grafts

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Any cartilage grafts used for rhinoplasty are permanent. The grafts that are used are harvested from your own septum and used to provide additional support in the nose, mostly in the tip to provide the needed support for achieving the desired outcome and look.

The down fall of grafts can be small but they can turn or warp over time.

Hope that answers your questions.

Farbod Esmailian, MD
Orange County Plastic Surgeon
5.0 out of 5 stars 88 reviews

Cartilage columella struts are permanent

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As you can see the expert posters have unanimously agreed that the cartilage columella struts are permanent! This should help you make an informed decision. Regards and Merry Merry!

Columella struts

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Any grafts used to support the tip are permanent. Their placement helps the nose hold shape initially, and continues to do so over time. For a columellar strut, your own cartilage taken from the septum or rib makes an excellent graft, as it looks natural and is readily accepted by your body. Hope this helps answer your question. Thank you and best of luck to you.

Dr. Nassif

Paul S. Nassif, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 49 reviews

Cartilage grafting to tip after rhinoplasty

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Cartilage grafts to support the position of the tip vis a vis columellar struts are permanent; however, the inherent strength may dissipate over time especially if you have a heavy tip or heavy skin. That being said the scar tissue and position of the tip after two years should pretty much stay the same. Other things can weaken tip support like the division of alar or tip cartilages, use of ear cartilage grafts can warp over time as well. Typically, though if your nose is in good position after about two years you should be fine except for the aging process.

Scott Trimas, MD
Jacksonville Facial Plastic Surgeon
5.0 out of 5 stars 20 reviews

Cartilage grafts should be permanent

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Grafts are often placed during rhinoplasty surgery to give the nose more support. They are usually made out of cartilage from the nasal septum and become incorporated within the tissues of the nose. They are permanent but may change slightly with time.

Caroline Min, MD
Los Angeles Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.